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General NPI Number Information
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NPI Number | 1770840688
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Entity Type | Individual
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Provider Name | ALEXEY YANILSHTEIN M.D
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Gender | Male
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Dates
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Enumeration Date | 04/16/2012
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 201 OLD COUNTRY RD STE 170
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City | MELVILLE
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State | NY
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Zip | 11747-2732
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Country | US
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Telephone | 631-271-9151
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Fax | 631-271-9155
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Provider Business Mailing Address
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Address Line | 30 HEMPSTEAD AVE STE 144
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-4034
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Country | US
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Telephone | 516-490-9060
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Fax | 516-200-3020
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 285097
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License Number State | NY
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